The emergency department, very well known to be the emergency room is a specialized unit that focuses on treating patients that arrives at any healthcare facility without any prior appointment. The unplanned nature of patient flow in an emergency room makes the emergency medical billing process quite complex. This is because the report needs to be precisely prepared right when the patient arrives at the healthcare facility.
Discharged not fully billed (DNFB) or missed charges – This is mainly due to lack of proper understanding of documentation process or the fast-paced nature of emergency room.
Unavailability of well-trained ED coders – ED coders are responsible for apt coding and identifying DNFB cases. However, most of the healthcare providers lack well-trained ED coders.
Increased demand of information – This is due to the occurrence of pandemic. The detailed information of patient’s status is required and if it is not done properly, this may lead to complexity in medical billing.
Proper signatures – The documents need to be signed properly. The medical billing must also include Advanced Beneficiary Notices along with Physician Certification Statement. This is to ensure compliance and avoid claim denials.
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